Hennessy, Diane C.

Hennessy, Diane C. is an sole proprietor health care provider with primary practice located at 5 Grandview Ave , Nanuet NY 10954-2510. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Dietary & Nutritional Service Providers / Nutritionist. Chiropractic Providers / Chiropractor is her primary health care specialty. Hennessy, Diane C. can be contacted via phone (845) 623-3939.

Contact Information

Primary practice address
5 Grandview Ave Nanuet NY 10954-2510
Phone: (845) 623-3939
Fax: (845) 624-5808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X005349-1 New York
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 004088 New York

Profile Details

NPI number 1922170729
LBN Legal business name Hennessy, Diane C.
Credentials D.C. CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922170729 NPPES
New York Other 5967328 AETNA PPO
New York Other C0-5449-8 AETNA PPO
New York Other 1014308 AETNA PPO

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